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Kansas reckons with large tuberculosis outbreak as health officials hamstrung

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Kansas reckons with large tuberculosis outbreak as health officials hamstrung


Kansas is experiencing one of the largest tuberculosis (TB) outbreaks ever recorded in the US, as public health powers at the state and federal level have been greatly curtailed.

Outbreaks like these may become more common and dangerous as officials’ efforts are hamstrung and their communications are limited, experts say.

“You can think of TB outbreaks like a canary in the coalmine of our public health infrastructure,” said David Dowdy, professor of epidemiology at Johns Hopkins Bloomberg School of Public Health.

“What causes them to happen is a weakening of our public health infrastructure.”

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Since January 2024, there have been 67 active cases of tuberculosis identified in two counties in Kansas – more than the usual case count for the entire state in a year, despite the counties together representing less than 3% of the state’s population, according to US Census data from 2023.

“It’s definitely more than just a little blip,” said Dowdy. “It’s one of the largest outbreaks of tuberculosis that we’ve seen in the country in the past 30, 40, 50 years.”

The state has also detected at least 79 latent cases of TB, in which patients do not display active symptoms but may develop and spread active disease later.

The state is currently monitoring 384 people who are undergoing testing and treatment, officials in Kansas said.

Public health officials in Kansas and from the US Centers for Disease Control and Prevention (CDC) are “working together to mitigate the risk of TB in the community and ensure the safety of all individuals”, Jill Bronaugh, communications director for the Kansas department of health and environment, said in a statement.

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But the risk to the general public remains low, she said.

“We are also working with schools and businesses to help prevent the spread of TB by supporting efforts to monitor symptoms and provide education,” Bronaugh said.

It is an uphill battle in a state that has seen public health powers sharply reduced in the wake of the pandemic.

The Kansas governor was banned from closing down businesses during public health emergencies in 2021. And the legislature forbade state and county public health officials from mandating tests, isolation and closures due to infectious disease in 2023.

Tuberculosis tends to spread when people spend a lot of time in crowded conditions such as prisons, jails and homeless shelters. These are also places where people frequently lack access to adequate healthcare, which can make infections more likely.

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Other factors such as malnutrition, HIV/Aids and other immune-suppressing conditions put people at greater risk of getting sick.

But what really causes TB outbreaks is the inability for public health professionals to respond, Dowdy said.

“It’s not that we don’t know how to do it,” Dowdy said of treating TB patients and keeping the bacteria from spreading. “It’s about the conditions underlying this that enable these outbreaks to unfold.”

When there is a way to detect the first cases, and there are enough health workers to trace and test contacts and to support patients who test positive, outbreaks can be stopped before they even start.

But when the systems are incomplete or dismantled and there are not enough health workers or resources to go around, “it’s easier for these sorts of things to go undetected for a longer period of time”, Dowdy said.

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“The people in Kansas are doing a good job with this. They just don’t have the resources they need,” he said.

At the national level, the Trump administration limited what the CDC and other federal health agencies can do by instituting a communications blackout in its first weeks.

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The ban on external communications includes withholding the release of the Morbidity and Mortality Weekly Report (MMWR), a highly regarded epidemiological digest that updates the public and medical practitioners on emerging and continuing outbreaks, among other crises.

On Friday, hundreds of pages were also removed from health agency websites to comply with Donald Trump’s executive order to remove references to race, gender, sexual identity and disability, among other identities. Some of those pages have now been restored, sometimes with edits and omissions because of the order.

Outbreaks such as the one in Kansas speak to the importance of coordination between states and national entities like the CDC, Dowdy said.

“One can only see these sorts of events when you can look from a big-picture perspective, and that’s what our national agencies are there for, but we can only respond to them at a local level, which is what our state and local health agencies are there for,” he said.

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“The importance of being able to coordinate between those and maintaining strength at both the national and the state and local levels really can’t be overstated,” Dowdy added. “Disruptions to those systems certainly increase the risk of outbreaks like this occurring.”

Internationally, the in effect dissolution of the US Agency for International Development (USAid) means global outbreaks of preventable illnesses such as TB could increase.

John Green, the author, YouTube star and TB advocate, said he had worked for months on a partnership with private donors, the Philippines and USAid on an $85m project to end TB in two regions of the Philippines.

“It could provide a blueprint for eliminating TB worldwide – except it’s … not happening,” he wrote in a post on Bluesky.

Global outbreaks are the major driver for TB cases in the US.

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Although the Kansas outbreak is large, it accounted for less than 1% of all TB cases in the US last year. About two-thirds of cases are detected among people who were born outside of the US, pointing to greater transmission outside of the country.

The current outbreak in Kansas is happening in the same place as a different outbreak detected in 2021-22. Troublingly, the disease strain in that outbreak showed resistance to several TB treatments, known as multidrug-resistant (MDR) TB, which can make outbreaks more challenging to contain.

There is no sign that this cluster of cases shows resistance to treatments – but if MDR-TB were to spread, it might be more difficult to ascertain now.

MDR-TB outbreaks are often detected through notable spikes in CDC monitoring reports, which may be affected by the gag order on US health agencies.

The report on the 2021-22 outbreak in Kansas, for instance, was published in the now quiet MMWR.

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Suit challenges Kansas law that revoked trans people’s updated IDs

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Suit challenges Kansas law that revoked trans people’s updated IDs


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The American Civil Liberties Union has filed a lawsuit challenging Kansas’ new sweeping anti-transgender law, the first in the nation to rescind previously issued IDs with updated gender markers.

Senate Bill 244 took effect Feb. 26 after the Republican supermajorities in the Kansas Legislature overrode a veto by Democratic Gov. Laura Kelly.

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“This legislation is a direct attack on the dignity and humanity of transgender Kansans,” said Monica Bennett, the ACLU of Kansas’ legal director, in a statement. “It undermines our state’s strong constitutional protections against government overreach and persecution.”

The lawsuit was filed Feb. 26 in Douglas County District Court on behalf of two anonymous plaintiffs. The lawyers on the case are from the ACLU and Ballard Spahr LLP. They argue “that SB 244 violates the Kansas Constitution’s protections for personal autonomy, privacy, equality under the law, due process, and freedom of speech.”

The law prohibits transgender Kansans from changing the sex or gender marker on their driver’s license and birth certificates. It also immediately invalidated identification documents for more than 1,000 transgender Kansans who already had changes approved.

The law also bans transgender people from using bathrooms, locker rooms and similar facilities in government buildings that align with their gender identity. They must instead use the restroom corresponding to their sex assigned at birth. Additionally, the law bans gender-neutral bathrooms with more than one stall.

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The law has various enforcement provisions, including allowing anyone to sue someone else who they think is transgender and suspected of using a restroom that is different from their sex assigned at birth.

Republican Attorney General Kris Kobach lobbied for lawmakers to explicitly ban gender marker changes after state courts allowed them to resume amid litigation over a predecessor law, Senate Bill 180. Lawmakers then added the bathroom bill provisions through a gut-and-go without a public hearing.

The state of Kansas, represented by Kobach, is a defendant in the case. Other defendants include agencies and agency leadership under the Kelly administration, including the Kansas Department of Revenue and Kansas Department of Administration.

Spokespeople for Kobach and Kelly did not immediately respond to requests for comment.

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The plaintiffs have filed a motion for a temporary restraining order and asked for a hearing on Feb. 27 “or as soon as possible.”

Jason Alatidd is a Statehouse reporter for The Topeka Capital-Journal. He can be reached by email at jalatidd@usatodayco.com. Follow him on X @Jason_Alatidd.





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Kansas Orders Trans Drivers to Surrender Licenses With One Day’s Notice

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Kansas Orders Trans Drivers to Surrender Licenses With One Day’s Notice


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The Kansas Division of Vehicles (DOV) has instructed transgender residents to surrender their updated driver’s licenses, as one of the nation’s most extreme anti-trans laws takes effect this week.

Trans Kansans received letters from the DOV on Wednesday informing them that licenses and other state ID papers that do not match a person’s assigned sex at birth are considered invalid and must be surrendered to the state effective immediately, ostensibly giving them less than 24 hours to make accommodations, according to multiple copies of the letter reviewed by the Kansas City Star.

“Please note that the Legislature did not include a grace period for updating credentials,” the letter read in part. “That means that once the law is officially enacted, your current credentials will be invalid immediately, and you may be subject to additional penalties if you are operating a vehicle without a valid credential.” Affected residents were “directed to surrender your current credential to the Kansas Division of Vehicles” and receive a new ID — at their own expense, as SB 244 did not provide state funding to cover the reversions, the Star noted.

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The move comes as a result of Kansas’ SB 244, which became law on Thursday and instructs state agencies to reverse gender marker changes on official documents. Gov. Laura Kelly vetoed the legislation, but the Republican supermajority overrode her veto last week.

Kansas officially recognizes only “male” and “female” as recorded at birth as valid sexes, per a state law passed in 2023. About 1,700 people are expected to have their licenses invalidated as a result of the new law, according to a legislative analysis of SB 244 conducted by the state House. The law will also invalidate amended birth certificates that were issued with a corrected gender marker.

The LGBTQ Foundation of Kansas shared a copy of one letter on Instagram, with identifying information redacted. Representatives for the nonprofit noted that some Kansas counties will hold special elections next week, and trans residents without valid photo ID cards will not be able to cast a vote under existing state law.

At least three other states have passed laws banning gender marker changes on driver’s licenses, but Kansas is now the only U.S. state to require such previous changes be reverted, according to KCTV.

“The persecution is the point,” said Rep. Abi Boatman, Kansas’ only trans state legislator, in a statement to the Star on Wednesday. “It tells me that Kansas Republicans are interested in being on the vanguard of the culture war and in a race to the bottom,” she added in a comment to KCTV.

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Kansas City man charged with murder in fatal shooting of reported missing teenage girl

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Kansas City man charged with murder in fatal shooting of reported missing teenage girl


KANSAS CITY, Mo. (KCTV) – A Kansas City man has now been charged in the death of a teenage girl who was reported missing and found dead a day later from a gunshot.

Jackson County Prosecutor Melesa Johnson announced Wednesday that Eric R. Phillips II has been charged with first-degree murder, armed criminal action and abandoning a corpse, following the girl’s November 2025 death.

Elayjah Murray had been reported missing on Nov. 28, 2025. As investigators looked into her disappearance, the Independence Police Department’s Criminal Investigation Unit learned that she’d possibly been shot.

Eric R. Phillips II has been charged with first-degree murder, armed criminal action and abandoning a corpse, following the girl’s November 2025 death.(Independence Police Department/Facebook)

Multiple witnesses and surveillance footage helped detectives identify Phillips as the shooter. Court documents say he shot Murray multiple times while she was in the back of his car during the early morning hours of Nov. 28.

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A day later, police with the Kansas City Missouri Police Department found Murray in Kansas City. Phillips’ cell phone pinged in the area where Murray’s body was located.

Phillips’ bond has been set at $350,000 cash only.

Johnson said Phillips was charged on Dec. 3, 2025, under seal. The case was unsealed Wednesday in an effort to help locate Phillips.



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